| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.00 | $84.00 | $84.00 | |
Cigna
| Professional | $3,249.75 | $3,249.75 | $3,249.75 | |
MVP Health Care
| Professional | $3,249.75 | $3,249.75 | $3,249.75 | |
United
| Professional | $203.91 | $219.59 | $716.67 |